| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $131.83 | $204.17 | $380.19 | |
Cigna
| Professional | $147.91 | $223.87 | $346.74 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $131.83 | $208.93 | $346.74 |